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One of the biggest challenges encountered by hospice administrators and board members who want to build an inpatient facility is funding the project, says Jim Faulkner, AIA, NCARB, LEED AP, president of Dayton, OH-based Matrix Architects, an architectural firm that specializes in hospice.
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"It should look like Grandma's house."
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Most physicians reported in a national survey that they would discuss end-of-life options with a terminally ill patient only when there were no more treatments to offer that patient, not when the patient still was feeling well, according to a study published online in CANCER, a peer-reviewed journal of the American Cancer Society.
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The real culprit for why physician conversations with patients about end-of-life care occur later rather than sooner is that physicians in medical schools primarily are trained to treat rather than talk, but that appears to be changing.
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End-of-life discussions can begin when someone is diagnosed with a life-limiting illness, says James A. Tulsky, MD, director of the Palliative Care Center at Duke University Medical Center, in Durham, NC.
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Ensuring employee safety requires more than a set of policies and procedures. It requires immediate action and thorough investigation once an employee reports an unsafe situation, says Robert W. Markette Jr., an attorney with Gilliland & Markette in Indianapolis.
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Black and Hispanic Medicare beneficiaries with heart failure appear less likely to receive hospice care than white patients with the same condition, according to a report in the March 8 issue of Archives of Internal Medicine.
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A survey of parents who had a child die of cancer found that one in eight considered hastening their child's death, a deliberation influenced by the amount of pain the child experienced during the last month of life, report researchers at Minneapolis-based Dana-Farber Cancer Institute in the March issue of Archives of Pediatrics & Adolescent Medicine.
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Parents and clinicians caring for children with brain tumors might experience significant challenges near the end of life due to the neurologic deterioration that often occurs in these patients, according to a study in the March issue of Archives of Pediatrics & Adolescent Medicine.
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Embark Health, Daytona Beach, FL, now offers an online solution to help people plan for end-of-life health care decisions.
